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NPI Code Detail

MEDICARE: MADISON SCHMIDT PA-C

MEDICARE: MADISON SCHMIDT PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2023025915MO

General Provider Information

NPI Number : 1528745726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON SCHMIDT PA-C
Provider Business Mailing Address
First Line : 2521 GLENN HENDREN DR STE 308
Second Line :
City : LIBERTY
State : MO
Zip : 64068-3388
Country : US
Telephone Number : 573-682-0950
Fax Number :
Provider Business Practice Location Address
First Line : 4320 WORNALL RD STE 710
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3246
Country : US
Telephone Number : 573-682-0950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2023
Last Update Date : 08/01/2023

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Directions to “ MADISON SCHMIDT PA-C” Practice Location

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